Embodiments herein relate to distributed interactive medical visualization systems including user interface features and related methods. In an embodiment, a distributed interactive medical visualization system is included having a first video processing circuit, a first central processing circuit in communication with the first video processing circuit, a first communications circuit in communication with the first central processing circuit, and a first user interface generated by the first video processing circuit. The first user interface can include a three-dimensional model of at least a portion of a subject's anatomy from a first perspective, the first perspective configured to be controlled by a first user. The first user interface can further include one or more user representations representing one or more other users, the user representations superimposed within the three-dimensional model, wherein each of the one or more user representations are visually distinct from one another. Other embodiments are also included herein.